相关实验视频
Updated: Feb 4, 2026

05:53
Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
5.4K
在高血管脊柱瘤手术中进行手术前栓塞的好处:元分析
Mohammad Daher1,2,3, Tarek Nahle4, Sami Abi Farraj5
1Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, LEBANON.
Spine
|February 2, 2026
概括
术前栓塞并不能始终改善高血管脊柱瘤的外科治疗结果. 在一些研究中观察到的益处可能是由于混因素,而不是栓塞本身.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 超血管瘤由于在手术过程中流失大量血液,造成了外科手术的挑战.
- 术前栓塞是减少出血的常见策略,但其有效性仍在争论中.
- 现有的研究缺乏关于手术前栓塞的一致优势的确证据.
研究的目的:
- 为了比较手术结果与没有手术前栓塞的高血管脊髓瘤.
- 评估关于手术前栓塞在缓解手术期间失血方面的有效性证据.
- 评估术前栓塞对术后结果的影响.
主要方法:
- 根据PRISMA指南进行的元分析.
- 搜索了PubMed,Cochrane和谷歌学者数据库,直到2025年5月.
- 包括手术前栓塞 (E) 与没有栓塞 (NE) 对高血管脊髓瘤的比较研究.
- 根据外科手术侵入性差异进行了分分析.
主要成果:
- 包括15项研究 (225名NE患者,340名E患者).
- 总的来说,E和NE组之间手术结果没有显著差异.
- 在没有显著侵袭性差异的研究中,血液损失相似 (P=0.75).
- 在其他研究中,NE组的血液损失较大 (平均差异=283.08毫升;P=0.05).
结论:
- 术前栓塞对于高血管脊柱瘤手术缺乏一致的益处.
- 观察到的血液流失减少可能与混的手术因素有关.
- 个性化患者和手术因素应指导栓塞的决定.
相关概念视频
Cardiomyopathy VII: Pre and Post Operative Nursing Management
353
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
353
Benefits of Self-Esteem
199
Self-esteem—an individual's overall evaluation of their worth—plays a complex role in psychological functioning and well-being. It is often associated with many positive traits, such as confidence, optimism, and perseverance. Individuals with high self-esteem typically experience better sleep, manage peer pressure more effectively, and report greater life satisfaction. Conversely, low self-esteem has been consistently linked with increased risks of depression, anxiety, and poor...
199
Pulmonary Embolism I: Introduction
702
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
702
Directing Effect of Substituents: meta-Directing Groups
6.0K
Substituents on the benzene ring that direct an incoming electrophile to undergo substitution at the meta position are called meta directors. All meta directors either have a positive charge on the atom directly bonded to the ring or a partial positive charge. These groups function by withdrawing electrons from the ring through inductive and resonance effects. Consider the carbocation intermediates formed upon the addition of an electrophile on nitrobenzene at the...
6.0K
pre-mRNA Processing
57.5K
In eukaryotic cells, transcripts made by RNA polymerase are modified and processed before exiting the nucleus. Unprocessed RNA is called precursor mRNA or pre-mRNA to distinguish it from mature mRNA.
Once about 20-40 ribonucleotides have been joined together by RNA polymerase, a group of enzymes adds a “cap” to the 5’ end of the growing transcript. In this process, a 5’ phosphate is replaced by modified guanosine that has a methyl group attached to it (7-Methyl...
Once about 20-40 ribonucleotides have been joined together by RNA polymerase, a group of enzymes adds a “cap” to the 5’ end of the growing transcript. In this process, a 5’ phosphate is replaced by modified guanosine that has a methyl group attached to it (7-Methyl...
57.5K
Pre-mRNA Processing: Modification of pre-mRNA Ends
14.9K
In eukaryotic cells, transcripts made by RNA polymerase are modified and processed before exiting the nucleus. Unprocessed RNA is called precursor mRNA or pre-mRNA to distinguish it from mature mRNA.
Once about 20-40 ribonucleotides have been joined together by RNA polymerase, a group of enzymes adds a cap to the 5' end of the growing transcript. In this process, a 5' phosphate is replaced by modified guanosine that has a methyl group attached (7-methyl guanosine). This 5' cap helps...
Once about 20-40 ribonucleotides have been joined together by RNA polymerase, a group of enzymes adds a cap to the 5' end of the growing transcript. In this process, a 5' phosphate is replaced by modified guanosine that has a methyl group attached (7-methyl guanosine). This 5' cap helps...
14.9K

